Register as a Speaker

If you would like to be listed in ISM's Speaker Bureau Directory, please complete and submit the following form:

Speaker Bureau Directory Form
Contact Information:
Mr. Mrs. Ms. Miss
First Name:
Last Name:
Title:
Company:
Address 1:
Address 2:
City:
State:
Postal / Zip Code:
Country:
Phone:
Fax:
E-mail:
 
Notice Required:
Certifications Held:
Years of Supply Management Experience:
Subject Topic (at least 1 required):
Subject Title Program Length
References (two required):
Name Phone
Do you charge a fee for the following presentations?
Program Type Fee
ISM affiliate dinner meetings yes no varies
ISM affiliate seminars yes no varies
Non-affiliate presentations yes no varies
To provide users of this directory with some results of your speaking activities, please provide information on your last several presentations
Example:
Presentation TypeISM International Conference Workshop
Date5/08
AudienceISM's conference attendees
Overall Rating / Rating Scale4.8 (1 - 5; 1 low)
Presentation 1:
Presentation Type
Date
Audience
Overall Rating / Rating Scale
Presentation 2:
Presentation Type
Date
Audience
Overall Rating / Rating Scale
Presentation 3:
Presentation Type
Date
Audience
Overall Rating / Rating Scale
Please choose a "Challenge Phrase" that you will remember. If it becomes necessary for you to edit or delete this speaker entry, you will be required to provide the "Challenge Phrase" you have entered below as an extra form of security.

Challenge Phrase:    

Please Note:
All fields in red must be filled in in order for submission to be valid. Thank you.